Presentation
Most of these cases are familial with an autosomal recessive mode of inheritance and presented in young adulthood. [casereports.in]
Pallidopyramidal syndrome and hereditary spastic paraplegia (HSP) can present common features and diagnostic approach has to be careful. genetic assessment is the gold diagnosis… CONTINUE READING [semanticscholar.org]
Pallidopyramidal syndrome and hereditary spastic paraplegia (HSP) can present common features and diagnostic approach has to be careful. genetic assessment is the gold diagnosis method in some cases. [doaj.org]
Case presentation We present an atypical presentation of palmar herpetic whitlow with delayed recognition and associated viral lymphangitis. [bmcpediatr.biomedcentral.com]
Entire Body System
- Pain
[…] swelling Physical exam pain with flexion of fingers thenar pain with thumb flexion hypothenar pain with small finger flexion midpalmar pain with small, ring, and small finger flexion thenar and midpalmar spaces often have loss of palmar concavity secondary [orthobullets.com]
Hip pain, back pain and neck pain are all common painful complaints in PD. Pain associated with dystoniaDystonic spasms are among the most painful symptoms that a person with PD may experience. [de.slideshare.net]
In children, history of finger sucking Erythema and pain in early stages, followed by frank abscess formation with increased pain History of diabetes (One study found that pediatric and adolescent patients with type 1 diabetes mellitus had an increased [emedicine.medscape.com]
Chronic Pelvic Pain. Mayo Clinic. [On-line information]. Available online at http://www.mayoclinic.com/print/chronic-pelvic-pain/DS00571/DSECTION=all&METHOD=print through http://www.mayoclinic.com. Accessed March 2009. (Updated 2006 November 13). [labtestsonline.cz]
Highlights In the presence of multiple painful fingers, careful evaluation will reveal the infected one from its marked painful rigidity. [ncbi.nlm.nih.gov]
- Asymptomatic
They were also found in a young asymptomatic daughter of case 3. Young patients with asymptomatic calcifications are commonly reported in the above-mentioned families (1 1-14,17). [docslide.com.br]
Molecular genetics may detect the gene for Huntington’s disease in people at risk while they’re still asymptomatic. [checkorphan.org]
A high index of suspicion is required to make clinical diagnosis; more so that the calcinosis may remain asymptomatic in a vast majority of cases. Movement disorder is by far the most common manifestation in symptomatic individuals. [annalsafrmed.org]
Females are asymptomatic and do not display the phenotype. [mendelian.co]
However, because of the frequency of asymptomatic patients, the incidental diagnosis in patients undergoing brain CT scan for other reasons is possible. [bmcneurol.biomedcentral.com]
Respiratoric
- Hoarseness
[…] with auditory features Autosomal dominant spinal muscular atrophy, lower extremity-predominant 1 Autosomal recessive axonal neuropathy with neuromyotonia Autosomal recessive centronuclear myopathy Autosomal recessive Charcot-Marie-Tooth disease with hoarseness [braintherapeutics.gr]
Gastrointestinal
- Muscle Rigidity
Muscle rigidity 0002063 Shuffling gait Shuffled walk 0002362 Sleep disturbance Difficulty sleeping Trouble sleeping [ more ] 0002360 Slow saccadic eye movements Slow eye movements 0000514 Spasticity Involuntary muscle stiffness, contraction, or spasm [rarediseases.info.nih.gov]
(Otfrid) Forster (1873–1941) has shown that the change in muscle tone resembles but also differs from spasticity. Rigidity is central in origin; spasticity is a response to peripheral or reflex stimulation. [academic.oup.com]
Liver, Gall & Pancreas
- Jaundice
Abdominal pain Abnormality of the kidney Nausea and vomiting Autoimmune thrombocytopenia Confusion Nausea Hematuria Abnormal bleeding Increased serum lactate Hemiparesis Purpura Glomerulonephritis Personality changes Hyperkalemia Prolonged neonatal jaundice [mendelian.co]
There was no history of exposure to drugs, toxins, insecticides or organophosphates or jaundice, blood loss, head trauma or sexual promiscuity. There was no history of a similar illness in any family member. [casereports.in]
Skin
- Erythema
In children, history of finger sucking Erythema and pain in early stages, followed by frank abscess formation with increased pain History of diabetes (One study found that pediatric and adolescent patients with type 1 diabetes mellitus had an increased [emedicine.medscape.com]
Although the initial diagnosis was a bacterial abscess secondary to MSSA or MRSA, other causes of palmar lesions include herpetic whitlow (as in this case), cellulitis, coxsackie viruses, erythema multiforme, sporotrichosis, syphilis, rat bite fever, [bmcpediatr.biomedcentral.com]
Temperature elevation, localized tenderness and erythema are indications for hospitalization while broad spectrum antibiotics and debridement are needed. [ncbi.nlm.nih.gov]
Musculoskeletal
- Scissoring Gait
gait Scissor walk Scissors gait [ more ] 0012407 Slow progression Signs and symptoms worsen slowly with time 0003677 Tremor 0001337 Young adult onset 0011462 Showing of 32 | Last updated: 3/1/2020 If you need medical advice, you can look for doctors [rarediseases.info.nih.gov]
Clinical features included tremor, rigidity, akinesia, scissor gait, and hyperreflexia. The disorder was progressive until the institution of levodopa treatment at the ages of 18 and 20 years, respectively. [dsimb.inserm.fr]
Psychiatrical
- Suggestibility
Want to suggest a symptom? Please send suggestions to RareGuru! [rareguru.com]
Kara2013ThePS, title={The pallidopyramidal syndromes: nosology, aetiology and pathogenesis}, author={Eleanna Kara and John Hardy and Henry Houlden}, booktitle={Current opinion in neurology}, year={2013} } PURPOSE OF REVIEW The aims of this review is to suggest [semanticscholar.org]
This pattern prompted Najim Al-Din et al. (1994) to suggest an autosomal recessive inheritance for the condition. [cags.org.ae]
We investigated whether patients diagnosed as Davison's PPD/S showed any definite proof of pyramidal and pallidal involvement, without findings suggestive of other nosological entities. [keyopinionleaders.com]
These findings suggest that during the latter part of the cell cycle SCF(Fbxo7) ubiquitin ligase activity is directed against a nuclear protein. [cancerres.aacrjournals.org]
Face, Head & Neck
- Hypomimia
At the time of the report, only the 3 most severely affected individuals showed detectable extrapyramidal symptoms, including rigidity, bradykinesia, hypomimia, and monotone speech. [syndromefinder.ncchd.go.jp]
Pill-rolling tremor, hypomimia, hypophonia, stooping posture, striatal toes and equinovarous deformity may be noted. The pyramidal features include paraparesis, scissoring of gait, Bakinski sign, hyperreflexia, and pseudobulbar effect. [neurologyindia.com]
Parkinsonian-pyramidal disease consists of the combination of parkinsonism and pyramidal features, but cerebellar symptoms have been also described in rare cases.13 In addition to the typical parkinsonian features such as rest tremor, rigidity, bradykinesia, hypomimia [jamanetwork.com]
Types Features Type 1 rigidity, hypomimia, marche apetits pas Type 2 pseudobulbar syndrome and variable pyramidal signs Type 3 dementia and incontinence Type 4 pallidopyramidal syndrome Type 5 pallidocerebellar syndrome Table 1: Clinical subtypes of “ [omicsonline.org]
Neurologic
- Tremor
Clinical manifestations include tremor, bradykinesia, rigidity, postural instability, spasticity, mainly in the lower limbs, and hyperreflexia. [malacards.org]
There were perioral tremors, resting pill rolling tremors in hands (grade 3 UPDRS scale) with dystonic posturing, facial–faucial–finger minimyo clonus, oculo-gyric dystonic spasm and striatal toes [Video 2]. [casereports.in]
In the mother, resting tremor was associated with bradykinesia and parkinsonian gait, while in the brother the tremor was isolated and of the postural type. [docslide.com.br]
- Dystonia
Green Phenotypes Dystonia Dystonia 6, torsion, 602629 Tags Green Green List (high evidence) TOR1A 1 review MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown Sources Expert list Expert Review Green Phenotypes Early-Onset Primary Dystonia [panelapp.genomicsengland.co.uk]
Pallido-pyramidal syndromes combine dystonia with or without parkinsonism and spasticity as part of a mixed neurodegenerative disorder. [ncbi.nlm.nih.gov]
RECENT FINDINGS NBIA is a disease category encompassing syndromes with iron accumulation and prominent dystonia-parkinsonism. [semanticscholar.org]
He described a series of five patients who presented with the triad of progressive parkinsonism, spasticity and dystonia. By now about 18 cases have been reported in English literature [1]. [casereports.in]
- Resting Tremor
[…] diseases Search Search for a rare disease Parkinsonian-pyramidal syndrome Disease definition Parkinsonian-pyramidal syndrome is a rare, genetic, neurological disorder characterized by the association of both parkinsonian (i.e. bradykinesia, rigidity and/or rest [orpha.net]
Orpha Number: 171695 Definition Parkinsonian-pyramidal syndrome is a rare, genetic, neurological disorder characterized by the association of both parkinsonian (i.e. bradykinesia, rigidity and/or rest tremor) and pyramidal (i.e. increased reflexes, extensor [malacards.org]
His problems gradually worsened and he developed rest tremors of right hand which also involved the left hand over the next few months. Hand tremors were prominent at rest and during voluntary activity and diminished during sleep. [casereports.in]
- Postural Instability
Clinical manifestations include tremor, bradykinesia, rigidity, postural instability, spasticity, mainly in the lower limbs, and hyperreflexia. [malacards.org]
He could sit with support with a flexed posture and had significant postural instability. [casereports.in]
- Hyperreflexia
Symptoms * Pyramidal signs * Parkinson disease * Tremor * Rigidity * Hyperreflexia * Spastic muscle tone * Gait disturbance * Bradykinesia * Dysarthria * Dysphagia Diagnosis signs and symptoms of Pallidopyramidal syndrome may vary on an individual basis [checkorphan.org]
All exhibited Babinski signs, hyperreflexia, and spasticity restricted mainly to lower limbs. [syndromefinder.ncchd.go.jp]
In the first family, of Libyan Jewish descent, a brother and sister both developed spasticity and hyperreflexia of the lower limbs at age 12 years. [dsimb.inserm.fr]
Clinical manifestations include tremor, bradykinesia, rigidity, postural instability, spasticity, mainly in the lower limbs, and hyperreflexia. [malacards.org]
Workup
[…] cognitive impairment and cerebellar signs are often seen. [15] Clinical findings are important as clinicians and radiologists may view BSPDC as an incidental finding, but incidental discovery of BSPDC before the age of 50 years merits further diagnostic workup [annalsafrmed.org]
The MRI workup of NBIA is incomplete without T2*-weighted acquisitions and/or SWI imaging. They enhance this degree of hypointensity (described as “blooming”). [annalsofian.org]
Treatment
There are two main types of clinical studies: Clinical trials determine if a new test or treatment for a disease is effective and safe by comparing groups receiving different tests/treatments. [rarediseases.info.nih.gov]
Both deteriorated to the point of a non-productive existence until the institution of levodopa treatment, at the ages of 18 and 20 years. [ncbi.nlm.nih.gov]
Full text links Group 7SearchHeart failure treatmentPapersTopicsCollectionsEffects of Sodium-Glucose Cotransporter 2 Inhibitors for the Treatment of Patients With Heart Failure Importance: Only 1 class of glucose-lowering agents-sodium-glucose cotransporter [read.qxmd.com]
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Prognosis
Electrophysiological trying out can aid prognosis yet provided that the fitting exams are ordered. they have to be accurately interpreted along side the particular signs. [karmen-shop.com.ua]
Treatment and prognosis The parkinsonism in Kufor-Rakeb disease tends to be levodopa-responsive, other manifestations of the disease are managed symptomatically 2. [radiopaedia.org]
Suchowersky O, Reich S, Perlmutter J, Zesiewicz T, Gronseth G, Weiner WJ: Practice Parameter: diagnosis and prognosis of new onset Parkinson disease (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology [karger.com]
Facial dystonia: clinical features, prognosis and pharmacology in 31 patients. Ital J Neurol Sci 1989;10:553-560. 26. Fahn S. High dosage anticholinergic therapy in dystonia. Neurology 1983;33:1255-1261. 27. Burke RE, Fahn S, Marsden CD. [flandershealth.us]
Etiology
DRD-plus also has the same etiologic background with DRD, but DRD-plus patients have more severe features that are not seen in DRD because of the severity of the genetic defect. [snucm.elsevierpure.com]
Singleton and Niall Quinn}, journal={Movement disorders : official journal of the Movement Disorder Society}, year={2009}, volume={24 1}, pages={ 138-40 } } Insights into the etiology of Parkinson’s disease (PD) disorders have resulted from the identification [semanticscholar.org]
Still the only major text on the subject, the completely revised and updated second edition of Parkinson's Disease: Diagnosis and Clinical Management comes at a time when specialists have made important advances in our understanding of the etiology, pathogenesis [books.google.de]
Etiology and histopathology Considering the etiology, bilateral striopallidodentate calcinosis can be subdivided into four forms, with first to third belonging to Fahr’s disease, that means lacking of secondary causes [1]: 1. Autosomal dominant; 2. [bmcneurol.biomedcentral.com]
Parathyroid hormone abnormality appears to be the most common definable etiology for calcification of bilateral subcortical nuclei and white matter, but the mechanism of selective deposition of calcium and other trace element in the presence of normal [annalsafrmed.org]
Epidemiology
[…] data: Class of prevalence: unknown Average age onset: neonatal/infancy Average age of death: - Type of inheritance: autosomal dominant Epidemiological data: Class of prevalence: - Average age onset: adolescence / young Average age of death: - Type of [csbg.cnb.csic.es]
Juvenile parkinsonism: epidemiology, diagnosis and treatment. CNS Drugs 2010;24:467-77. Di Fonzo A, Chien HF, Socal M, et al. ATP13A2 missense mutations in juvenile parkinsonism and young onset Parkinson disease. Neurology 2007;68:1557-62. [rarediseases.org]
Epidemiology Movement disorders are common neurologic problems, and epidemiological studies are available for some of them ( Table 1.3 ). [neupsykey.com]
"Epidemiology and practice patterns of achalasia in a large multi-centre database". Aliment Pharmacol Ther. 33 (11): 1209–14. doi:10.1111/j.1365-2036.2011.04655.x. PMC 3857989. [wikidoc.org]
Huber (Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research), Gavin Hudson (Neurology M4104, The Medical School, Newcastle upon Tyne, UK), Sarah E Hunt (Wellcome Trust Sanger Institute), Thomas Illig (Institute of Epidemiology [journals.plos.org]
Pathophysiology
Therapeutic strategies, following a correct diagnosis has to be addressed to improvement the patient's quality of life by rehabilitation methods and medication targeting the pathophysiological processes involvement. [doaj.org]
Neurodegeneration with Brain Iron Accumulation: Genetic Diversity and Pathophysiological Mechanisms. Annu Rev Genomics Hum Genet 2015;16:257-79. Park JS, Blair NF, Sue CM. [rarediseases.org]
[Journal Article] M Medicine (Baltimore) 2019; 98(17):e15390 CONCLUSIONS: We presume that the pathophysiology of FS was related to primary hypoparathyroidism and hypomagnesemia. [unboundmedicine.com]
Although the complex molecular pathophysiology of neurodegeneration is largely unknown, major advances have been achieved by elucidating the genetic defects underlying mendelian forms of these diseases 2. [nature.com]
Potential Pathophysiological Crosstalk between Parkin and FBXO7 signalling pathways. Electronic J Biol, 12:4. [ejbio.imedpub.com]
Prevention
Immediate drainage is imperative to relieve increased tension and prevent development of osteomyelitis of the distal phalanx. [accesssurgery.mhmedical.com]
We find also that binding of Fbxo7 to Skp1 prevents its interaction with Crm1, a component of the nuclear export machinery suggesting that association with the other SCF components directly promotes the nuclear accumulation of the protein. [cancerres.aacrjournals.org]
Rectangular shaped bag Integrated full pad sleeve Compartmentalized, horizontal baffled construction prevents down shifting Double zippers allow entry from either side of bag and when unzipped allows top of bag to be used like a comforter Two 62" / 157cm [bigagnes.com]
Cardiovascular Risk Factor Management in the Prevention of Stroke: Satellite Symposium Held on the Occasion of the 11th European Stroke Conference, ... 2002: Proceedings (CEREBROVASCULAR DISEASES) Mechanism and Management of Headache, 7e Tourette Syndrome [karmen-shop.com.ua]
These septa result in a closed compartment at the distal phalanx, which helps prevent the proximal spread of infection. [emedicine.medscape.com]